<form action='?' method='post' enctype='multipart/form-data'>
    <div class='item withLabel'>
            <label>checkbox</label>
            <div class='control'>
          <input type='hidden' name='checkbox' value='yes' />
          <input type='checkbox' name='checkbox' value='no' />
          Check me!</div>
            <div class='clear'>
          </div>
    </div>
    <div class='item withoutLabel'>
        <div class='control'>
      <div class='separator'>
      Contacts</div>
      </div>
        <div class='clear'>
      </div>
    </div>
    <div class='item withLabel'>
      <label>
    Text</label>
      <div class='control'>
    <input type='text' name='text' value='sdf' />
    </div>
      <div class='clear'>
    </div>
    </div>
    <div class='item withLabel'>
      <label>
    Textarea</label>
      <div class='control'>
    <textarea name='textarea'>
    gsdfgsdf</textarea>
    </div>
      <div class='clear'>
    </div>
    </div>
    <div class='item withLabel'>
      <label>
    Coordinates</label>
      <div class='control'>
    <div class='latLng'>
    Lat <input type='text' name='latlng[lat]' value='12.123456789' />
     &nbsp; Lng <input type='text' name='latlng[lng]' value='34.123456789' />
    </div>
    </div>
      <div class='clear'>
    </div>
    </div>
    <input type='submit' value='   OK   '>
</form>
